Lembar kerja Prioritas & delegasi dengan jawaban

Which adult blood glucose result needs treatment straight away?

1. A130 mg/dL (7,2 mmol/L) two hours after a large lunch
2. B52 mg/dL (2,9 mmol/L) with sweating and shakiness
3. C110 mg/dL (6,1 mmol/L) after a snack
4. D98 mg/dL (5,4 mmol/L) before breakfast

Which arterial blood pH is within the normal range?

1. A7,40
2. B7,52
3. C7,18
4. D7,28

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. APull the fire alarm
2. BClose doors to contain the fire and smoke
3. CRescue patients in immediate danger
4. DUse an extinguisher on the fire

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will call if my child has trouble breathing.”
2. B“I will keep my child home from school and away from others while unwell.”
3. C“I will give my child plenty of fluids.”
4. D“I will give my child aspirin to bring the fever down.”

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. ALeave the patient for a few minutes to find the relatives and explain what is happening
2. BGive a dose of every as-needed medication on the chart
3. CStay with the patient, give oxygen as prescribed and have recent vital signs ready
4. DGo to the station to finish documentation for other patients

Instruksi kepada asisten keperawatan mana yang paling jelas?

1. A"Lakukan tanda vital Pak Lee kapan saja sebelum makan siang dan tuliskan di bagan untuk saya."
2. B"Kabari saya jika ada yang tampak salah pada Pak Lee selama Anda di dalam."
3. C"Ukur tekanan darah Pak Lee pukul 10,00 dan segera beri tahu saya bila sistoliknya di bawah 100."
4. D"Perhatikan Pak Lee pagi ini dan kabari saya bagaimana keadaannya."

A nurse must care for a patient with a radioactive implant. Which approach best limits the nurse’s exposure?

1. AStand close to the patient to finish care faster
2. BLimit time in the room, keep as far away as possible and use shielding
3. CWear a surgical mask to block the radiation
4. DSpend longer in the room each time but visit less often during the shift

Setelah serah terima, pasien mana yang harus dikaji perawat lebih dulu?

1. AHari ke-2 setelah operasi kandung empedu: nyeri 6/10, analgesik berikutnya dijadwalkan 30 menit lagi
2. BPPOK dengan oksigen 2 L/menit: SpO₂ 90%, frekuensi napas 22/menit, pada kondisi dasarnya
3. CDiabetes tipe 2: glukosa 210 mg/dL (11,7 mmol/L) sebelum makan siang, tanpa gejala
4. D1 jam setelah kateterisasi jantung melalui femoralis: nyeri punggung baru, nadi 118/menit, TD 92/58 mmHg